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A simulation study of the winter bed crisis

Vasilakis, Christos and El-Darzi, Elia (2001) A simulation study of the winter bed crisis. Health Care Management Science, 4 (1). pp. 31-36. ISSN 1386-9620

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Official URL: http://dx.doi.org/10.1023/A:1009649615548

Abstract

The winter bed crisis is a cyclical phenomenon which appears in British hospitals every year, two or three weeks after Christmas. The crisis is usually attributed to factors such as the bad weather, influenza, older people, geriatricians, lack of cash or nurse shortages. However, a possible alternative explanation could be that beds within the hospital are blocked because of lack of social services for discharge of hospital patients during the Christmas period. Adopting this explanation of why the bed crisis occurs, the problem was considered as a queuing system and discrete event simulation was employed to evaluate the model numerically. The model shows that stopping discharges of rehabilitating patients for 21 days accompanied by a cessation of planned patients for 14 days precipitate a bed crisis when the planned admissions recommence. The extensive 'what-if' capabilities of such models could be proved to be crucial to the designing and implementation of possible solutions to the problem.

Item Type:Article
Additional Information:Online ISSN 1572-9389
Uncontrolled Keywords:Simulation, Geriatric Medicine, Queuing systems, Bed Occupancy
Research Community:University of Westminster > Electronics and Computer Science, School of
ID Code:502
Deposited On:23 Sep 2005
Last Modified:11 Aug 2010 15:29

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